AB 483 — Local educational agency: Medi-Cal billing option.

Summary

Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed by, and funded pursuant to, federal Medicaid program provisions. Existing law establishes the Administrative Claiming process under which the department is authorized to contract with local governmental agencies and local educational consortia for the purpose of obtaining federal matching funds to assist with the performance of administrative activities relating to the Medi-Cal program that are provided by a local governmental agency or local educational agency (LEA) . Existing law requires the department to engage in specified activities relating to the LEA Medi-Cal Billing Option, including amending the Medicaid state plan to ensure that schools are reimbursed for all eligible services, consulting with specified entities in formulating state plan amendments, examining methodologies for increasing school participation in the LEA Medi-Cal Billing Option, and conducting an audit of a Medi-Cal Billing Option claim consistent with prescribed requirements, such as generally accepted accounting principles. Existing law requires the department to issue and regularly maintain a program guide for the LEA Medi-Cal Billing Option program. Existing law requires the department to file an annual report with the Legislature that includes, among other things, a summary of department activities. This bill would require the department, when conducting an audit of a Medi-Cal Billing Option claim, to complete the audit and notify the LEA of the findings within 18 months of the date that the Cost and Reimbursement Comparison Schedule (CRCS) is submitted. The bill would require the department to provide an interim settlement or final settlement within 12 months of the March 1 due date for the CRCS. The bill would require the department to update and distribute the program guide to all participating LEAs by July 1, 2024, as specified. The bill would require the department's summary of activities in the above-described report to also include training for LEAs and a summary of the number of audits conducted of Medi-Cal Billing Option claims, as specified. The bill would make other technical, nonsubstantive changes to these provisions.

Bill Text

• Chaptered 10/08/23 - Chaptered Current pdf October 08, 2023
• Enrolled 09/18/23 - Enrolled pdf September 18, 2023
• Amended 09/08/23 - Amended Senate pdf September 08, 2023
• Amended 07/13/23 - Amended Senate pdf July 13, 2023
• Introduced 02/07/23 - Introduced pdf February 07, 2023
• AB483 View text html

Action History

1. October 08, 2023

   Chaptered by Secretary of State - Chapter 527, Statutes of 2023.

2. October 08, 2023

   Approved by the Governor.

3. September 21, 2023

   Enrolled and presented to the Governor at 3:30 p.m.

4. September 14, 2023

   Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 80. Noes 0. Page 3558.).

5. September 13, 2023

   In Assembly. Concurrence in Senate amendments pending.

6. September 13, 2023

   Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0. Page 2759.).

7. September 11, 2023

   Read second time. Ordered to third reading.

8. September 08, 2023

   Read third time and amended. Ordered to second reading.

9. September 05, 2023

   Read second time. Ordered to third reading.

10. September 01, 2023

    From committee: Do pass. (Ayes 7. Noes 0.) (September 1).

11. August 14, 2023

    In committee: Referred to APPR suspense file.

12. July 13, 2023

    Read second time and amended. Re-referred to Com. on APPR.

13. July 13, 2023

    From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0.) (July 12).

14. July 03, 2023

    In committee: Hearing postponed by committee.

15. June 14, 2023

    Referred to Com. on HEALTH.

16. June 01, 2023

    In Senate. Read first time. To Com. on RLS. for assignment.

17. May 31, 2023

    Read third time. Passed. Ordered to the Senate. (Ayes 80. Noes 0. Page 1983.)

18. May 18, 2023

    Read second time. Ordered to third reading.

19. May 18, 2023

    From committee: Do pass. (Ayes 15. Noes 0.) (May 18).

20. April 19, 2023

    In committee: Set, first hearing. Referred to APPR. suspense file.

21. March 22, 2023

    From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 14. Noes 0.) (March 21). Re-referred to Com. on APPR.

22. March 22, 2023

    Coauthors revised.

23. February 17, 2023

    Referred to Com. on HEALTH.

24. February 08, 2023

    From printer. May be heard in committee March 10.

25. February 07, 2023

    Read first time. To print.

Sponsors

• Al Muratsuchi · Primary
• Wood · Cosponsor
• Dave Cortese · Cosponsor

Votes

Subjects